Surgical apparatus.



Patented Oct. 30,1917.

2 SHEETSSHEET I.

F. M. McDONALD'.

SURGICAL APPARATUS. APPLICATION FILED IULIY 1|. 1911.

Patented Oct. 30,1917.

2 SHEETS-SHEET 2.

FRANK M. MCDONALD, or Los' ANGELES, camronma.

SURGICAL APPARATUS.

Specification of Letters ratent.

Patented Oct. 30, 1917.

Application filed July 11, 1917. Serial NO. 179,800.

To all whom it may concern;

Be it known that I, FRANK M. MCDONALD, a citizen of the United States,residing at Los Angeles, in the county of Los Angeles and State ofCalifornia, have invented certain new and useful Improvements inSurgical Apparatus, of which the following is a specification.

This invention relates to the class of surgical appliances employed forremoving obstructions from the nostrils, more particularly of youngchildren, and has for one ofits objects to provide a device which may beapplied Without discomfort to the patient v and operating to effectuallyremove obstructions from the nostrils and the passages leading thereto.v

Another object of the invention is to provide a device whereby hard andrefractory substances or'matter which gathers in the nostrils may besoftened or reduced and then abstracted.

Another object of the invention is to provide -a device whereby remedialagents, either liquid, solid or powdered, may be conducted into thenostrils, all of these various operations being performed withoutstructural change in the appliance.

With these and other objects in view, the

- invention consists in certain novel features of constructionashereinafter shown and described and then specifically pointed out inthe claims;-and in the drawings illustrative of the preferred embodimentof the inven tion-- Figure 1 is a side elevation of the improved device;i

Fig. 2 is a plan view; Fig, 3 is a detail view of a Part of theappliance at right angles to the corresponding parts shown in Fig. 1,illustrating the construction and arrangement of parts more fully;

Fig. 4 is a detail view. of an air pump which may be employed instead ofan air.

bulb when an increase of force is required; Fig. 5 is an enlarged frontelevation of the upper portion of the appliance, partly in section.

Fig. 6 is a section on the line 6-6 of Fi .5-

Fig. 7 is an enlarged sectional detail of the lower part of the air bulbportion of the device, illustrating the construction of the holder forthe remedial compound or raw terial.

Corresponding and like parts are referred to in the followingdescription and indicated in all the views of the accompanying drawlngsby thesamc reference characters.

The improved device comprises in general a nose inclosing or receivingportion. represented as a whole at 10, a suction air bulb, representedat 11, a flexible tubular conneclion 12 between the bulb 11 and the.nose inclosing portion 10, a receptacle for the matter extracted fromthe nose of the patient and represented conventionally at 13, and atubular connecting branch 14; between the tubular member 12 and thereceptacle 13.

The nose inclosing portion of the device is preferably constructed ofrubber or like material and provided with an' enlarged margin 15 curvedto closely engage over the upper outer ])()l'l'.l0ll or bridge of thenose and the checks ad acent to the nose and likewise the upper lipbetween the nose and the discharge of the member 10,- the dischargebeing located directly beneath the nostrils. The member 10 is providedwith fiap-like attachments 16 at its sides from which straps 17 extend.Aband to engage around the head of the patient forms a part of theimproved device and is represented conventionally at 18, and ispreferably formed from leather or like material, relatively wide, andlikewise preferably with longitudinal openings to lighten the band andalsoto increase its width. The member '18 is provided with buckles 19 atits ends to be engaged with the straps 17, as illustrated in Fig. 1. Bythis means the device may be rcadily clamped to the head of the patientand held in position over the nose. The member 18 is preferably linedwith some soft fabric. Extending from the discharge end of the member 10is a tubular neck portion 20 having a coupling member 21, preferably ofmetal, externally threaded, attached to its lower end. Located withinthe neck portion 2-) is a transverse division member 22, the latter thusforming t wo longitudinal passages through the portion 20, as shown-inFig. 5. At its upper end, the member 22 is divided to form a socket 23to receive the septum or dividing cartilage of the nose so that thepassages of the nose communicate respectively with the passages in theappliance at either side of the part1- tion. Located within the coupling21 1s an oblique "partition 24, shown more clearly m Fig. 5. At ts upperend the tubular memeng ged wit ber 12 provided with a coupling memberthe tubular member 14, as shown in Fig. 5.

The branch 14" of the tubular member 12 terminates at its lower end in.a coupling member 27 to which atubular extension 28,

preferably of rubber is dctachably connected.

The receiver 13 is detachably connected to the tubular member 28 by acoupling 29 which is preferably of metal, while the tubular member 12 isconnected to the bulb 11 by a couplin I metal. T e coupling; members 27,29 and 30 are substantially alike, and of the ordinary construction.

The nose recelvmg member 10, together with its partition 22-23,. thetubular member 12, together with its branch 14 and partition-26, and thetubular connection 28, are preferably of flexible material, such asrubher, while the receiver 13 isconstructed of some suitable material,such as glass, which will not be contaminated by the substance extractedfrom the nose. At its lower end the bulb 11 is provided with an annularinternally threaded band 31 to receive a cupshaped member 32 having anexternally threaded flange to engage the threaded band and thus couplethe member 32 detachably to the receptacle 11. The receptacle 32 isdesigned to contain a remedial substance or compound, as hereinafterdescribed. An outwardly opening valve 33 of suitable construction isassociated with the bulb 11, as

shown in Fig. 7. v

The receptacle 13 is provided with a detachable closure 34:. so that thecontents of the receptacle may be removed when required, and likewise toprovide for the cleansing of the receptacle. An additional strap, aportion of which is represented at 39, may be connected to the member lOto pass over the top of the head of the patient.

A double acting cut-off device is applied to the two-way conductor 20,while .a' similar cut-0E device is applied to'the'two-way conductorportion -12-26, the cut-off devices being precisely alike so that thedescription of one will suffice for both. Each cut-oil device comprisesan open frame 1ndicated asa whole at35 and each support-- ing'transversepins 36 at opposite sides and each pin carryinga cam or pinch member 37and an operating arm 38' adapted to be forced against the opposite sidesof the portions 12 and 20 to compress the outer walls against thepartition 22 or 26 as the case "may be, asil'lustrated in Figs. 2 and 5,and

thus cut off the flow" through the conductor at eith r-side of. th d d gpartition.

member 30, also preferably'o-fv associated with the uncloggednostril-"is closed by manipulating th'e'cut-ofl' devicev other. passageopen. I

The improved implement,- as before stated, may be employed either todraw, ob-' structions from one or both of the nostril passages, or toinject medicinal matter into or through either or both nostril passages,and by manipulating the cut-off device either one or both of the nostrilpassages may be subjected to either a suction or drawing action toremove obstructions, or subjected to. a forcing action to inject medici-37 associated with the passage, leaving the nal matter into either orboth of the nostril passages.

It will also be obvious that air under pressure may likewise be forcedthrough both or either one of the nostrils in the same manner. If it isdesired to inject medicinal matter or compound only the cut-off deviceassociated with the passage leading to the receptacle 13 will be closedand the bulb manipulated to force the medicinal compound, from thereceptacle 32.

With a device thus constructed the operation is as follows: If bothnostrils of the patient are clogged and it isdesired to merely removetheobstructions, the cut-01f devices '37 associated with the COIldJCtOlportion 12 are closedto shut off the .fiow of air, and the bulb 11compressed to expel the air therefrom and thus create a partial vacuumin the bulb. The

member 10is then fitted over the nose of the patient with the septum ordividing cartilage of the nose in the socket 23, and se- 'into thetubular member 1 1 at one side of the partition 26, and thence intothereceptacle 13.. The flow of the material wil beobserved through thetransparent walls of the receptacle and, if a continued flow isnecessary, the cut-off devices 36 associated with the passage leadingfrom the bulb is again closed and the bulb exhausted as be foredescribed and the operation repeated, until the flow of material fromthe nostrils ceases, as observed in the transparent receptacle.' v

If it-is necessary to apply medical compounds or material to thenostrils, the comthe finger of the operator and the cut-ofi .pound isdeposited in the receptacle 32 and the valve33 held closed by thepressure of the result of forcing the medical compound into thenostrils.

If the suction produced by the bulb is not suflicient, the bulb can bereplaced by an air pump indicated at 40 in Fig. 4, and any requiredsuction force created thereby. If

the matter in the nose is abnormally refractory, a softening compoundmay be forced lnto the nostrils in the same manner as medicines areapplied, and then the softened matter removed by suction as beforedescribed,

The pump will be employed only when the substance or matter within thenostril is too refractory to be extracted by the relatively slightsuction which it is possible to.

produce with the bulb. The mouth of the patient should be kept openduring the operation of the device, and if the device is employed, uponvery young children, a pacifier like device shown at ll at the right ofFig. 1 will be inserted in the mouth through which the child can breathewhen the nostrils are shut off. The child is thus prevented fromsmothering during the operation of the device.

Having thus described the invention, what is claimed as new is: v

1. A device of the class described comprising a member adapted toinclose the nose of a. patient. a branching tubular conductor associatedwith the nose inclosing member, means for inducing air currents throughone of said branches, and a receptacle connected to the other branch.

2. A device of the class described comprising a member adapted toinclose the nose of a patient, a conductor leading from the noseinclosing member and including passages connected respectively with thenostrils of the patient, independent means for cutting off thecirculation through said passages, a branching tubular conductorassociated with the nose inclosing member,

means for inducing air currents through one of said branches, and areceptacle connected to the other branch.

3. A device of the class described comprising .a member adapted toinclose the nose of a patient, a branching tubular conductor associatedwith the nose inclosing member, means for inducing air currents throughone of said branches, a receptacle connected to the other branch, and adcflector operatingto conduct material from the nose inclosing memberinto the passageleading to the receptacle.

4. A device 'of the class describedcomprising a nose receiving member, abranching tubular conductor leading from the nose receiving member,means for inducing air currents through one of said branches, means forcontrolling the flow of air through said last mentioned branch, and a ngmember, a transverse partition in said tubular conductor and deflectedlaterally at its upper end, means for inducing air currents through oneof said branches, and a I receptacle connected to the other branch.

6. A device of the class described. comprising a nose receiving member,a branch- I ing tubular conductor leading from the nose receivingmember, an air bulb connected to one of said branches, a receptacle fora medical substance connected to said bulb,

and a receptacle connected to the other branch.

7. A device of the class described comprising a nose inclosing member, abranching tubular conduct-or leading from the nose inclosing member,means for securing said nose inclosing membertothe head of a patient.means for inducing air currents through one of said branches,and areceptacle connected to the other branch.

8. A device of the class described comprising a nose inclosing memberhaving a tubular discharge, a branching tubular conductor leading fromthe tubular discharge, means for inducing air currents through one ofsaid branches and through the tubular discharge, and a receptacleconnected'to the other branch.

9. A device of the class. described comprising a nose inclosing memberhaving a tubular discharge, a branching tubular conductor leading fromthe nose inclosing member, means for inducing air currents through oneof said branches and through the tubular discharge, a lateral deflectorin said tubular discharge, and a receptacle connected tothe otherbranch.

10. A device of the class described comprising a nose inclosing member.having a tubular discharge, said tubular. discharge being divided by alongitudinal partition, a branching tubular conductor leading from thetubular discharge, a lateral deflector in said tubular. discharge andspaced from the lower terminal of the partition, means for inducing aircurrents through one of said branches and through the tubular discharge,

wtion adapted to receive-the septum of the patient, a branching tubularconductor leading from the tubular discharge, means for inducing aircurrents through one of said branches, and a' receptacle connected totheother branch.

13. A device/0f the class. described com.-

prising a nose inclosing member having a tubular discharge, said tubulardischarge bc ing divided by a longitudinal partition with a, socket atthe upper end of the partition adapted to receive the septum of thepatient, a branching tubular conductor lead ing from the tubulardischarge, means for independently cutting off the flow through thepassages of the tubular discharge, means for independently cutting offthe fiOW through the branching tubular conductor,

means for inducing air currents through "one of said branches. and areceptacle connected to the other branch.

14. A device of the class described coinprising a nose inclosing memberhaving a tubular discharge, a coupling member at the lower terminal ofthe tubular discharge and having a lateral deflector therein, a

branching tubular conductor having a coupling member engag ng thecoupling member of the tubular discharge, means for independentlycutting off the flow through -the passages of the tubular discharge,

means for independently cutting ofi the flow through the branchingtubular conductor, means for inducing air currents through one of saidbranches, and a receptacle connected to the other branch.

In testimony whereof I affix my signa ture.

FRANK M. MQDONALD. t. 5.

